Leo Wheat Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011271 Issued in GA

Practice address

51 Jefferson Pkwy
Suite a and B
Newnan, GA 30263-5813

Phone

(770) 252-9345

Fax

(770) 252-9347

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Newnan Smile Center

  • General Practice Dentistry
  • Newnan, GA
  • NPI 1538290937
  NPD (past) Authorized official
• Georgia Dental Professionals, PC

  • General Practice Dentistry
  • McDonough, GA
  • NPI 1023598422
  NPD (past)
• Heartland Dental Care of Georgia

  • General Practice Dentistry
  • Cumming, GA
  • NPI 1245533868
  NPD (past)
• Richard K. Straus, D.M.D

  • General Practice Dentistry
  • Columbus, GA
  • NPI 1912093055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1609889930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 JEFFERSON PKWY",
            "address_2": "SUITE A AND B",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635813",
            "telephone_number": "770-252-9345",
            "fax_number": "770-252-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 JEFFERSON PKWY",
            "address_2": "SUITE A AND B",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635813",
            "telephone_number": "770-252-9345",
            "fax_number": "770-252-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEAT",
        "first_name": "LEO",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000691204A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000691204B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwidette West, RBT
• Alicia Westley, MS, OT
• Westwind Counseling Services LLC
• Heather Leigh Whatley
• Wheat Family Dental
• Bethany Wheeling, MS, RD, LD, CNSC
• Robert L. Whipple IV, M.D.
• White Oak Pediatric Dentistry PC
• White Oak Surgery Center
• White Oak Surgery Center

• General Practice Dentistry in Newnan, GA
• Providers in Newnan, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.